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Health, Wellness and Tourism: healthy tourists, healthy business ...

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The main purpose of the one-day visitors coming to the Czech Republic was shopping<br />

(73.7%), <strong>business</strong> trip (11.5%), recreation <strong>and</strong> entertainment (6.6%) <strong>and</strong> visiting friends <strong>and</strong><br />

relatives (6.4%).<br />

<strong>Health</strong> State <strong>and</strong> Aging - Implication for <strong>Tourism</strong><br />

The World <strong>Health</strong> Organization (WHO) defines health as ‘a state of complete physical,<br />

mental, <strong>and</strong> social well-being <strong>and</strong> not merely the absence of disease, or infirmity’. This broad<br />

definition can be applied equally to developed <strong>and</strong> developing countries <strong>and</strong> to both genders.<br />

<strong>Health</strong> is a cumulative state, to be promoted throughout life in order to ensure that the full<br />

benefits are enjoyed in later years. Good health is vital to maintain an acceptable quality of<br />

life in older individuals <strong>and</strong> to ensure the continued contributions of older persons to<br />

society. 19<br />

<strong>Health</strong> state is an important part of the st<strong>and</strong>ard of living <strong>and</strong> quality of life of inhabitants of<br />

each country <strong>and</strong> is perceived as country´s development criteria. <strong>Health</strong>y life expectancy<br />

(HALE), defined by WHO as „Average number of years that a person can expect to live in<br />

"full health" by taking into account years lived in less than full health due to disease <strong>and</strong>/or<br />

injury“ 20 is a indicator which is monitored also in the Czech Republic.<br />

One of the common characteristic features of most European countries is demographic<br />

ageing: it occurs mainly as a result of decreasing or low <strong>and</strong> stagnant natality, along with<br />

decreasing mortality <strong>and</strong> related increasing life expectancy. 21 The share of children in the<br />

population diminishes while the share of persons at ages 65 years or more grows. The age<br />

preference index used for comparison of population age structures exceeds the value 100 (i.e.,<br />

the number of persons over 64 years exceeds the numbers of children) 22 in increasing<br />

numbers of countries including the Czech Republic (102.4 in 2007 <strong>and</strong> 105.1 in 2008). Due to<br />

a marked decrease of natality in the early 1990s it has low proportion of children up to 15<br />

years old (14.2 % in 2008), but it still belongs to countries with relatively low proportion of<br />

persons in the age group of 65 or more years (14.7 % in 2008). The latter proportion will<br />

further increase as the age limit 65 is crossed by the strong generation born after World War<br />

II.<br />

Another common characteristic of all European countries is the decreasing natality that<br />

dropped also in countries where it was traditionally high. In several countries including the<br />

Czech Republic a slow increase can be observed as the number of live born children steadily<br />

grows since 2002, in 2006 the number of live born children per 1 000 inhabitants exceeded<br />

again the value 10 <strong>and</strong> the value 11 in 2007. 23<br />

The indicator of total fertility, i.e., the average number of children live born to one woman<br />

during her reproductive period, does not reach the limit of simple replacement, i.e., the value<br />

2.1 children per one woman, in any European country including the Czech Republic where<br />

19 Ageing – exploding the myths. Ageing <strong>and</strong> <strong>Health</strong> Program (AHE). Geneva WHO, 1999, p. 1–21<br />

20 WHO Statistical Information System (WHOSIS). <strong>Health</strong>y life expectancy (HALE) at birth (years).<br />

Downloaded from: http://www.who.int/whosis/indicators/2007HALE0/en/ (last accessed 7 March 2010)<br />

21 European <strong>Health</strong> for All Database. Downloaded from: http://www.euro.who.int/hfadb (last accessed 7 March<br />

2010)<br />

22 The index is defined as the number of persons aged 65 years or more per 100 children aged 0–14 years.<br />

23 European <strong>Health</strong> for All Database. Downloaded from: http://www.euro.who.int/hfadb (last accessed 7 March<br />

2010)

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